The Influence Of Zhuang Tong Yin In Patients With Acute Myocardial Infarction(after PCI)

Objective:To study the effect of Zhuang Tong Yin on the quality of life,related laboratory indicators and the incidence of major adverse cardiac events(MACE)in patients with acute myocardial infarction(AMI)after percutaneous coronary intervention(PCI).Methods: From July 2016 to July 2017,80 cases of AMI and 80 patients treated in the two district of cardiovascular medicine,the First Affiliated Hospital of Guangxi University of traditional Chinese medicine,were admitted to the First Affiliated Hospital of the University of traditional Chinese medicine.The patients were divided into the treatment group and the control group according to the random number table method,each 40 cases.The control group was treated with standardized traditional medicine with western medicine.The treatment group was treated with Zhuang Tong Yin on the basis of the control group;the two groups of patients were compared with the main syndrome score scale of chest pain and heart pain,Seattle angina scale(SAQ),total cholesterol(TC),low density lipoprotein cholesterol(LDL-C),and serum homocysteine(HCY),hypersensitive C reactive protein(hs-CRP),N terminal B type brain natriuretic peptide precursor(NT-proBNP),and the incidence of MACE(angina pectoris,arrhythmia,heart failure,recurrent myocardial infarction,sudden death),and evaluating the clinical efficacy.Results:(1)After 3 months of treatment,the main syndrome integral,SAQ standard integral,TC,LDL-C,Hcy,hs-CRP and NT-proBNP were improved in the two groups(P < 0.05).The treatment group was better than the control group(P < 0.05);the rate of MACE in the treatment group was 7.50%,and the incidence of MACE in the control group was higher than that of the control group.For 12.50%,there was no significant difference between the two groups(P > 0.05).(2)After 6 months of treatment,the main syndrome score,SAQ standard integral,TC,LDL-C,Hcy and hs-CRP were improved in the two groups(P < 0.05).The treatment group was better than the control group(P < 0.05),The NT-proBNP of treatment group was significantly lower than that before treatment(P < 0.05),and the control group was higher than that before treatment(P < 0.05),and the difference between the two groups was statistically significant(P < 0.05).the incidence of MACE in the treatment group was 7.50%,the incidence of MACE in the control group was 25%,and the difference in the two groups was statistically significant(P < 0.05).Conclusion:Zhuang Tong Yin can obviously improve the clinical symptoms and quality of life of patients with acute myocardial infarction after PCI,and reduce the laboratory indexes of TC,LDL-C,Hcy,hs-CRP and NT-proBNP effectively,and reduce the incidence of MACE.The clinical effect is significant,and it is worth further promoting.